Carolina Cataract Clinic

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

CAROLINA CATARACT CLINIC

Practice address

115 Atrium Way
Suite 120
Columbia, SC 29223

Phone

(803) 788-2276

Fax

(803) 788-1022

NPI assigned

Nov 17, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Dean Robert Jacobs, MD

Title

Owner

Phone

(803) 788-2276

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Advantage Eye Care Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darrell L Witt, OD

  • Optometrist
  • Columbia, SC
  • NPI 1336152529
  NPD (past)
• Robert Otto Lauver, OD, FNORA, FCOVD,

  • Optometrist
  • Strasburg, PA
  • NPI 1871601633
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1285616037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23098",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292243098",
            "telephone_number": "803-788-2276",
            "fax_number": "803-788-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ATRIUM WAY",
            "address_2": "SUITE 120",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29223",
            "telephone_number": "803-788-2276",
            "fax_number": "803-788-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CATARACT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-788-2276",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125705",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0041",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advantage Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolina Anesthesiology Associates PA
• Carolina Assessment Services, LLC
• Carolina Boys Home Inc
• Carolina Cadence Speech Therapy LLC
• Carolina Cardiac Care
• Carolina Center for Fertility & Endocrinology, PA
• Carolina Chat & Chew LLC
• Carolina Child Psychiatry, PA
• Carolina Children'S Dentistry, PA
• Carolina Children'S Home

• Ophthalmology Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Ophthalmology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.